Tissue plasminogen activator
PLATproteinTissue plasminogen activator is released during coronary thrombosis and serves as a marker of fibrinolytic activity and thrombus burden in acute MI.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencehigh
RationaleFibrinolytic enzyme activation marker; elevated in rupture and thrombotic states indicating coagulation and fibrin turnover.
Druggability
DruggableYes
Known drugs / candidates8
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000104368
Assay & specimen
Class-level default (no specific cleared assay)— generic method inferred from analyte class; confirm against a specific product insert before use.
Specimen
Serum or plasma
Collection tube
Serum separator (gold/red-top, SST) · K2/K3-EDTA (lavender-top)
Method / principle
Sandwich immunoassay (ELISA) — research-grade unless a cleared assay exists
Reagent / substrate
Matched anti-target antibody pair (capture + labeled detection)
Platform
ELISA microplate or multiplex (Luminex/MSD)
Turnaround · availability
Send-out / research · Research-grade (no universal clinical assay)
Human genetic evidence
0.604
Open Targets association (myocardial_infarction)
Literature evidence(38)
- Blood pro-thrombotic analytes and platelet activation are associated with post-acute sequelae of COVID-19.BMC infectious diseases · 2025 · PMID 41372813 · doi
- Perioperative cardiovascular complications rate and activity of coagulation and fibrinolysis among patients undergoing vascular surgery for peripheral artery disease and abdominal aortic aneurysm.Vascular · 2020 · PMID 32600160 · doi
- Beneficial effect of combined spironolactone and quinapril treatment on thrombosis and hemostasis in 2K1C hypertensive rats.Journal of physiology and pharmacology : an official journal of the Polish Physiological Society · 2018 · PMID 29980144 · doi
- Increased von Willebrand factor, P-selectin and fibrin content in occlusive thrombus resistant to lytic therapy.Thrombosis and haemostasis · 2016 · PMID 26962963 · doi
- Altered plasma fibrin clot properties in essential thrombocythemia.Platelets · 2015 · PMID 25989112 · doi
- Associations between circulating proteins and corresponding genes expressed in coronary thrombi in patients with acute myocardial infarction.Thrombosis research · 2015 · PMID 26475405 · doi
- Association between sympathoadrenal activation, fibrinolysis, and endothelial damage in septic patients: a prospective study.Journal of critical care · 2014 · PMID 24581948 · doi
- Vascular and thrombogenic effects of pulmonary exposure to Libby amphibole.Journal of toxicology and environmental health. Part A · 2012 · PMID 22352330 · doi
- Fibrinolytic status in acute coronary syndromes: evidence of differences in relation to clinical features and pathophysiological pathways.Thrombosis and haemostasis · 2012 · PMID 22538774 · doi
- Fibrin D-dimer, tissue-type plasminogen activator, von Willebrand factor, and risk of incident stroke in older men.Stroke · 2012 · PMID 22382157 · doi
- Dynamic expression of the main related indicators of thrombosis, inflammatory reaction and tissue damage in a rat model of myocardial infarction.Molecular medicine reports · 2011 · PMID 21567088 · doi
- [Role of the infection and inflammation in atherosclerosis development (literature review)].Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery · 2010 · PMID 21780619
- Microparticle-linked tissue factor activity and increased thrombin activity play a potential role in fibrinolysis failure in ST-segment elevation myocardial infarction.Thrombosis and haemostasis · 2009 · PMID 19350119
- Characterization of the pro-thrombotic state in CAPD patients.Renal failure · 2008 · PMID 18661409 · doi
- Fibrinolysis in patients with an abdominal aortic aneurysm with special emphasis on rupture and shock.Journal of thrombosis and haemostasis : JTH · 2007 · PMID 17922806 · doi
- Do plasma biomarkers of coagulation and fibrinolysis differ between patients who have experienced an acute myocardial infarction versus stable exertional angina?American heart journal · 2007 · PMID 18035075 · doi
- Associations of vitamin C status, fruit and vegetable intakes, and markers of inflammation and hemostasis.The American journal of clinical nutrition · 2006 · PMID 16522902 · doi
- Measures of thrombosis and fibrinolysis.Clinics in laboratory medicine · 2006 · PMID 16938589 · doi
- Tissue plasminogen activator antigen is strongly associated with myocardial infarction in young women.Journal of thrombosis and haemostasis : JTH · 2005 · PMID 15670033 · doi
- Hemodynamic, hemostatic, and endothelial reactions to psychological and physical stress in coronary artery disease patients.Biological psychology · 2005 · PMID 15961212 · doi
- [HIV infection, antiretroviral therapy, and endothelium].Herz · 2005 · PMID 16170677 · doi
- Fibrinolytic gene polymorphism and ischemic stroke.Stroke · 2005 · PMID 16179568 · doi
- A randomized comparison of the effects of aspirin and clopidogrel on thrombotic risk factors and C-reactive protein following myocardial infarction: the CADET trial.Journal of thrombosis and haemostasis : JTH · 2004 · PMID 15550024 · doi
- Retained fibrinolytic response and no coagulation activation after acute physical exercise in middle-aged women with previous myocardial infarction.Thrombosis research · 2002 · PMID 12091046 · doi
- Absence of paradoxical thrombin activation by fibrin-specific thrombolytics in acute myocardial infarction: comparison of single-bolus tenecteplase and front-loaded alteplase.Thrombosis research · 2002 · PMID 12182909 · doi
- Factor V Leiden and its relation to left ventricular thrombus in acute myocardial infarction.Acta cardiologica · 2001 · PMID 11315119 · doi
- How to search for the role and prevalence of defective fibrinolytic states as triggers of myocardial infarction? The haemostasis epidemiologist's view.Italian heart journal : official journal of the Italian Federation of Cardiology · 2001 · PMID 11666092
- Laboratory markers of hypercoagulability.Italian heart journal : official journal of the Italian Federation of Cardiology · 2001 · PMID 11501955
- Plasma and platelet plasminogen activator inhibitor-1 in patients with acute myocardial infarction.Japanese circulation journal · 2000 · PMID 10952148 · doi
- Predictive value of fibrinolytic factors in coronary heart disease.Scandinavian journal of clinical and laboratory investigation. Supplementum · 1999 · PMID 10389198
- [Blood coagulation and fibrinolysis in arteriosclerosis].Zeitschrift fur Kardiologie · 1999 · PMID 10413853 · doi
- Activation markers of coagulation and fibrinolysis: alterations and predictive value in acute coronary syndromes.Thrombosis and haemostasis · 1999 · PMID 10695492
- Useful laboratory tests for studying thrombogenesis in acute cardiac syndromes.Clinical chemistry · 1998 · PMID 9702994
- Early spontaneous intermittent myocardial reperfusion during acute myocardial infarction is associated with augmented thrombogenic activity and less myocardial damage.Journal of the American College of Cardiology · 1995 · PMID 7642856 · doi
- Thrombotic markers during myocardial infarction.Panminerva medica · 1995 · PMID 8869368
- [Tissue-type plasminogen activator (t-PA) and plasminogen activator inhibitor (PAI)].Rinsho byori. The Japanese journal of clinical pathology · 1994 · PMID 8176842
- Fibrinolysis in patients with acute ischaemic heart disease. With particular reference to systemic effects of tissue-type plasminogen activator treatment on fibrinolysis, coagulation and complement pathways.Danish medical bulletin · 1993 · PMID 8222763
- [Biological manifestations of a prethrombotic state in developmental Crohn's disease].Gastroenterologie clinique et biologique · 1990 · PMID 2188861